Dermatology

Dermatology I

registration open

 

Palma de Mallorca / Spain

20.03.2023 – 24.03.2023

EURO 2.350.-*

EURO 2.250.-*(early registration deadline: 15.12.2022)

* eLibrary access is included in the course fee

Total hours: 40
ATF hours (Austria, Germany, Luxembourg, Switzerland): TBA
ECTS credits (Master & Certificate): 5

Program Director/Principal Course Master:

Prof. Dr. Lluís Ferrer, DVM, PhD, Dipl.ECVD (ES)

Course Masters:

TBA

Course Overview

In this first introductory course, the basic principles of dermatology are reviewed. First, the biology of the skin, with special attention to the mechanisms of innate and acquired skin immunity and to the skin microbiome. Second, the approach to the dermatological patient and how the diagnosis is made: the problem-oriented approach (POA), the decision-making process, the adequate use of diagnostic tests and the dual-processing model. Among the diagnostic tests, special attention is given to cutaneous histopathology, considered the most powerful diagnostic tool. Furthermore, the students will learn how to design effective treatment plans under the paradigm of evidence-based medicine and the principles of conservative prescription.

In the second part of the course the main bacterial diseases of the skin will be reviewed. From common diseases as superficial bacterial folliculitis to severe and uncommon conditions as necrotizing fasciitis. The adequate use of diagnostic techniques (cultures, molecular techniques) and the therapy for skin infections, including those caused by multi-resistant organisms will be discussed.

Learning outcomes

At the end of the course, participants will be able to:

1. Understand skin structure and function (and how different components of the skin are involved in the pathogenesis of different skin diseases).
2. Approach a dermatologic patient following the POA (history, clinical and dermatologic examination, definition of the problem(s), elaboration of an adequate differential diagnosis list).
3. Perform and interpret basic diagnostic techniques (skin scrapings, cutaneous cytologies, skin cultures, skin biopsies).
4. Diagnose and treat the most common bacterial skin diseases of the dog and cat.

Main topics:

Skin biology. Mechanisms of cutaneous immunity. Skin microbiome.
The approach to the dermatologic patient. History, lesion description, problem definition and use of diagnostic techniques (cytology, histopathology, molecular techniques). How a diagnosis is made (dual processing theory).
Bacterial skin infections. Bacterial folliculitis-other superficial pyodermas.
Folliculitis-furunculosis (generalized, post-grooming, German shepherd).
Other deep bacterial infections: botryomycosis, actinomycosis, nocardiosis.
Mycobacterial infections: feline leprosy, panniculitis caused by rapidly growing mycobacteria, canine leproid granuloma syndrome. Necrotizing fasciitis.

Special focus:
Understanding bacterial resistance and the MRS issue.

Wetlabs:
Principles of cutaneous cytology.
How to obtain useful skin biopsies.
Basic histology of the skin.

Journal clubs, discussions and controversies:
Principles of evidence-based dermatology.
Journal club I: how to read a scientific paper.

Course program (subject to change)

Monday, 20 March 2023
08:30 – 09:00 Welcome and Registration
09:00 – 09:45 Introduction: Skin Biology: Keratinocyte Biology
09:45 – 10:30 Skin Biology: Basement Membrane Zone
10:30 – 11:00 Coffee Break
11:00 – 11:45 Skin Biology: Dermis
11:45 – 12:30 Skin Biology: Hair Follicles and Glands
12:30 – 13:15 Cells, Molecules and Diseases: Examples and Clinical Cases
13:15 – 14:30 Lunch Break
14:30 – 15:15 Wet Lab: Group 1 – Skin Histology
15:15 – 16:00 Wet Lab: Group 2 – Skin Biopsy: How to Obtain useful Skin Biopsies
16:00 – 16:30 Coffee Break
16:30 – 17:30 Wrap Up. Derm Dx Quiz. Quick Self-Assessment
18:00 Welcome Drink
Tuesday, 21 March 2023
09:00 – 09:45 Immunology of the Skin: Innate Immune Response
09:45 – 10:30 Immunology of the Skin: Acquired Immune Response
10:30 – 11:00 Coffee Break
11:00 – 11:45 The Approach to the Dermatologic Patient I
11:45 – 12:30 The Approach to the Dermatologic Patient II
12:30 – 13:15 Cells, Molecules and Diseases: Examples and Clinical Cases
13:15 – 14:30 Lunch Break
14:30 – 15:15 Wet Lab: Group 1 – Skin Biopsy: How to Obtain Useful Skin Biopsies
15:15 – 16:00 Wet Lab: Group 2 – Skin Histology
16:00 – 16:30 Coffee Break
16:30 – 17:30 Wrap Up. Derm Dx Quiz. Quick Self-Assessment
Wednesday, 22 March 2023
09:00 – 09:45 Skin Microbiome
09:45 – 10:30 Superficial Bacterial Folliculitis and other Superficial Pyodermas
10:30 – 11:00 Coffee Break
11:00 – 11:45 Diagnosis of Bacterial Skin Infections
11:45 – 12:30 Molecular Diagnosis and Clinical Metagenomics
12:30 – 13:15 POA I: Focal – Multifocal Alopecia
13:15 – 14:30 Lunch Break
14:30 – 15:15 Therapy Focus: How to Interpret Sensitivity Test Results and Make an Adequate Antibiotic Choice
15:15 – 16:00 Group 1: Wet Lab – Skin Cytology
Group 2: Journal Club 1 – EBD
16:00 – 16:30 Coffee Break
16:30 – 17:30 Wrap Up. Derm Dx Quiz. Quick Self-Assessment
Thursday, 23 March 2023
09:00 – 10:30 Deep Pyodermas. Generalized Folliculitis-Furunculosis. Post-Grooming Furunculosis
German Shepherd Pyoderma
10:30 – 11:00 Coffee Break
11:00 – 11:45 Other Deep Bacterial Infections: Botryomycosis, Actinomycosis, Nocardiosis
11:45 – 12:30 Discussion of Clinical Cases
12:30 – 13:15 Cells, Molecules and Diseases: Examples and Clinical Cases
13:15 – 14:30 Lunch Break
14:30 – 15:15 Pathophysiology Topic: Melanocytes and Skin Pigmentation
15:15 – 16:00 Group 1: Journal Club 1 – EBD
Group 2: Wet Lab- Skin Cytology
16:00 – 16:30 Coffee Break
16:30 – 17:30 Wrap Up. Derm Dx Quiz. Quick Self-Assessment
20:00 Social Dinner
Friday, 24 March 2023
09:00 – 10:30 Mycobacterial Infections: Feline Leprosy, Panniculitis Caused by Rapidly Growing
Mycobacteria, Canine Leproid Granuloma
10:30 – 11:00 Coffee Break
11:00 – 11:45 Uncommon Bacterial Skin Infections. Necrotizing Fasciitis
11:45 – 12:30 Discussion of Clinical Cases
12:30 – 13:15 Understanding Bacterial Resistance and the MRS Issue
13:15 – 14:30 Lunch Break
14:30 – 15:15 Therapy Focus: Principles of Topical Therapy. Antimicrobial Therapy
15:15 – 16:00 Journal Club 2
16:00 – 16:30 Coffee Break
16:30 – 17:30 Wrap Up. Derm Dx Quiz. Quick Self-Assessment

Course location

Hotel “Valparaiso Palace & SPA“ in Palma,
MALLORCA. C/ de Francesc Vidal i Sureda, 23, 07015 Palma, Illes Balears, Spain